| NPI | 1457561326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KENNEDY Co Owner 941-955-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT17515) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |