| NPI | 1053577684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY A. MILLER Sole Proprietor 813-237-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT0013284) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |