| NPI | 1093097180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INES CASTRO President 239-443-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MA46555) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |