| NPI | 1508399619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIA RENEE MCDOWELL Physical Therapist 321-412-6893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2022-12-07 |