NPI | 1548531387 |
---|---|
Entity Type | Organization |
Authorized Contact | OLA FADALY President 813-727-9542 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT0011142) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT0011141) |
Enumeration Date | 2012-01-25 |
Last Update Date | 2015-11-10 |