| NPI | 1306900063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE HANSON Owner 727-541-2091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL ST 1245) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |