| NPI | 1063687416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN SENKARIK President 239-398-7489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL pt21199) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2012-06-11 |