| NPI | 1356663371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A HALL Owner 239-689-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL CH 6817) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |