| NPI | 1285013573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ERIC BURNELL President 941-685-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA PT04010) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-08-26 |