| NPI | 1306260161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA VISHNEVSKY President 941-484-9291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6600) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-07-10 |