| NPI | 1275845042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOMSKY MITCHELL Owner 239-384-9527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MM24506) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |