NPI | 1447647425 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES DALE COOPER Administrator 727-240-1017 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 111N00000X Chiropractor |
207QA0505X Family Medicine, Adult Medicine | |
Enumeration Date | 2015-04-17 |
Last Update Date | 2015-04-17 |