| NPI | 1164735155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WAYNE TYREE President/Physical Therapist 386-274-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 25452) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-23 |