NPI | 1194762039 |
---|---|
Entity Type | Organization |
Authorized Contact | MACKENZIE M BARTRUFF COO 941-957-3279 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 06007788) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2024-04-09 |