| NPI | 1528711348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIE PEDRAZA Data Analyst 239-433-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-04 |