| NPI | 1346077203 |
|---|---|
| Other Name | NEW DIMENSIONS WELLNESS CLUB |
| Entity Type | Organization |
| Authorized Contact | JUSTIN COBB President 407-421-4737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-24 |