| NPI | 1104614155 |
|---|---|
| Former Legal Business Name | TAMPA TRAUMA THERAPY |
| Entity Type | Organization |
| Authorized Contact | MELANIE RYERSON Owner 727-644-9414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |