| NPI | 1073857298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN ALONZO LAUREL CEO 850-638-3387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT13658) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT27435) |
| 225100000X Physical Therapist (Licence: FL PT23655) | |
| 225100000X Physical Therapist (Licence: FL PT14591) | |
| 225100000X Physical Therapist (Licence: FL PT26409) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |