| 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 |