| NPI | 1194932426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA L FARESE Physical Therapist 727-381-5272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT0004310) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-17 |