| NPI | 1457861205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY ZARCONE Director 352-514-4618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01516600) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |