| NPI | 1245607035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L BRUN Owner 813-504-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT20230) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |