| NPI | 1063400265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNES WIJNMAALEN President/Physical Therapist 727-848-3962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT736) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2014-01-24 |