| NPI | 1154375715 |
|---|---|
| Doing Business As | LEGACY PHYSICAL THERAPY & SPORTS TRAINING |
| Entity Type | Organization |
| Authorized Contact | CESAR CHACON Administrator 941-302-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-13 |