| NPI | 1548404395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHRISTOPHER VIA Owner 941-929-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT12074) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |