NPI | 1376944553 |
---|---|
Entity Type | Organization |
Authorized Contact | RUBEN ALONZO LAUREL Manager 850-596-0218 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28367) |
Enumeration Date | 2014-09-08 |
Last Update Date | 2014-09-08 |