| NPI | 1083131676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA ROBERTS Owner 727-822-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MM95712) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-07-21 |