| NPI | 1417196403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN SPIEGEL Managing Member 813-333-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 23432) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-02-13 |