| NPI | 1437188356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE A BERTOLINO Owner/Director 941-360-9706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT20421) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2018-01-10 |