| NPI | 1497080295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL FREEMAN Owner 813-412-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL HCC7743) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2009-10-12 |