| NPI | 1295887594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DOUGLASS Chief Clinical Officer 941-870-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2025-08-20 |