| NPI | 1497100358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH PATTERSON Chief Of Compliance 813-690-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT4616) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2023-04-05 |