NPI | 1265893408 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH WHITEHURST President 863-617-9400 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist | |
261QR0400X Clinic/Center Rehabilitation | |
Enumeration Date | 2016-03-16 |
Last Update Date | 2020-02-04 |