| NPI | 1508378290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH A PATTERSON Chief Of Compliance, Security & Pri 813-690-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |