| NPI | 1417398959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA YOUNG Physical Therapist 813-841-6912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 014319) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |