| NPI | 1073984191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY ANDERSEN Multi Site Manager 813-681-1627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 30569) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |