| NPI | 1174311740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANNE BRANDON Physical Therapist, Owner 239-877-2985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-25 |