| NPI | 1316016801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE CHUA OCAMPOS Vice President 863-648-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT10695) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-05-13 |