| NPI | 1134532054 |
|---|---|
| Doing Business As | SPINAL HEALTH INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KEVIN VAN NOSTRAND Owner/Operator 941-258-1965 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: FL ME 102997) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 18108) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |