| NPI | 1205152691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON MILLS Member 407-614-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |