| NPI | 1194902817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A KNICKERBOCKER Administrator 352-521-0627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2012-06-20 |