| NPI | 1538331590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ANN OATES Physical Therapist Assistant 321-217-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PTA 21177) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |