| NPI | 1245286145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD A. BOULANGER Co Owner 941-756-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| 224Z00000X Occupational Therapy Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2025-09-11 |