| NPI | 1093094468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERUM KHAN Physical Therapist 407-761-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 020505) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2016-07-28 |