| NPI | 1417643537 |
|---|---|
| Doing Business As | REVELATION PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL F STIWICH Owner/PT 352-262-0264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |