NPI | 1144337452 |
---|---|
Entity Type | Organization |
Authorized Contact | YUSI SANCHEZ Credentialing/ Billing Manager 239-692-9679 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT7021) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2020-11-02 |