| NPI | 1386939346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN WALTER JENKINS Managing Member 941-906-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 6826) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |