NPI | 1366536864 |
---|---|
Doing Business As | DYNAMIC LIFESTYLE INSTITUTE |
Entity Type | Organization |
Authorized Contact | STELLA H. NEMUSESO President/Director 352-414-9251 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2006-10-02 |
Last Update Date | 2025-03-14 |