| NPI | 1326712282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LORAINE HARMON President 941-544-4423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 164W00000X Licensed Practical Nurse | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |