| NPI | 1437600129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WEISS Manager 941-412-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NH 750611) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |