| NPI | 1205292489 |
|---|---|
| Doing Business As | 65 PLUS PHYSICAL THERAPY - COUNTRY CLUB PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW CORN President 941-451-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: FL 21464) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-06-14 |