| NPI | 1215686068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLIN C DELUCA Physical Therapist 813-466-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-03-21 |