| NPI | 1225663107 |
|---|---|
| Former Legal Business Name | ATHENA PELVIC THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | JUANITA BENEDICT Owner 352-449-6906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2023-09-15 |