| NPI | 1265118632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON IPO Physical Therapist/Owner 941-371-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2024-01-06 |