| NPI | 1093822173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIBEKE VALA Owner President 352-376-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT12687) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT3509) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |