NPI | 1104940899 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW K HARKNESS President 239-242-0070 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 0700056666) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2023-11-08 |