| NPI | 1154378875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIORGIO G RES Owner 772-978-7379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT22446) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9113) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2018-02-13 |