| NPI | 1174762207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MASSON Manager 407-718-5549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 8093) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |