| NPI | 1184001943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY TALIAFERRO Owner 727-871-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2024-01-10 |