| NPI | 1548992159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARIE CLARK Physical Therapist/Owner 352-817-2512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |