| NPI | 1124191135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA VICTORIA GINSBURG Co Owner 239-738-0897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT22811) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |