| NPI | 1538780952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS CHARLES SUIVSKI Owner And Physical Therapist 772-485-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |