| NPI | 1447965132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY SPENLAU Physical Therapist Assistant 727-542-7857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-01-18 |