| NPI | 1124337142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JEAN LIGHTLE Physical Therapy Assistant 727-375-1745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA 18917) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |