| NPI | 1235324005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIESSE O RIVERA President 813-654-3808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL PT0005096) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2008-02-04 |