| NPI | 1417040551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER WILLIAM FROESCHLE Managing Member 239-464-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |