| NPI | 1093359309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDI DAVIS Manager 352-388-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |