| NPI | 1275350415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISAMARIE TRAN OWENS Physical Therapist 407-697-9721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |