| NPI | 1164732970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID LADYZHENSKY President 941-752-0758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT6466) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |