| NPI | 1073999017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN DENISE DYSARD President/Owner/Provider 239-949-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 22861) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |