NPI | 1215253042 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM DANIEL VOGELBACH President / CEO 239-573-1518 |
Organization Subpart ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL HCC1131) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL HCC1131) |
Enumeration Date | 2010-04-19 |
Last Update Date | 2010-07-09 |