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 |