| NPI | 1407398324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCHELLE RACHEL Owner 813-421-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL PT18758) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2024-05-13 |