| NPI | 1467600551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETRIC MAR D BALBONTIN Physical Therapist 407-346-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |