NPI | 1366254211 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT ALLAN BRADLEY CEO 239-292-6498 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2025-01-27 |
Last Update Date | 2025-05-22 |