| NPI | 1083470843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA WYATT CONNOR Owner/Registered Agent 407-868-3379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |