| NPI | 1255860433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE D RIVEROS Co Owner 727-369-6355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |