| NPI | 1306154448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBEL MARTIN Owner/President 941-966-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL N/A) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |