| NPI | 1194771808 |
|---|---|
| Doing Business As | SAME |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J DEMCHAK President 407-960-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2013-06-28 |