| NPI | 1184123275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DOUGLAS JOHN Physical Therapist/Owner 727-364-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL pt28541) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2020-05-06 |