| NPI | 1093129181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WALZ Owner 941-744-9046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT21392) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |