| NPI | 1447384219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERIASWAMY SUBASH CHANDAR Vice President 239-437-6620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2011-12-12 |