| NPI | 1407132632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANN PATTERSON Secretay 813-690-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT4616) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |