| 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 |