NPI | 1538924428 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHANIEL ALAN BROWN Physical Therapist 321-591-0907 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
Enumeration Date | 2024-02-19 |
Last Update Date | 2024-07-29 |