NPI | 1427530336 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA SOUZA COSTA-SHEAHAN President 239-673-8179 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28137) |
Enumeration Date | 2018-09-06 |
Last Update Date | 2018-09-06 |