| NPI | 1346788072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL TRAVER Physical Therapist 321-430-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT26177) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2022-01-05 |