| NPI | 1124168570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN SINNOTT CEO 386-255-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL OT10387) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |