| NPI | 1255147815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE LOUISE DUBOIS Clinical Director 813-802-9943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |