| NPI | 1285495838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA NICHOL REID Owner 941-812-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-04-03 |