| NPI | 1346311669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEENU JETHWANI Owner 352-732-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT11524) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT4799) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2008-04-30 |