| NPI | 1205825361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIAN JOSE PAGKALIWANGAN R PT Administrator 863-648-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT13022) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-08-22 |