| NPI | 1144840414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE H. ROSONINA Doctor Of Physical Therapy 321-202-3323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-27 |