| NPI | 1336508688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERUSHA T ALLEN Member And Organizer 813-389-0793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC P15061) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |