| NPI | 1225461023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH HILDERLEY Billing Representative 352-683-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 0027681) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0180411) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |