| NPI | 1427025618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL C DAVIS Assistant Office Manager 321-952-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2020-08-22 |