NPI | 1497860019 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA KETTENACKER Office Manager 352-726-3950 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT9294) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2020-08-17 |