| NPI | 1114594470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY DOWNING Physical Therapist 813-230-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-07 |