| NPI | 1558315663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH YURKOVAC Manager 239-261-0291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 225700000X Massage Therapist | |
| 225X00000X Occupational Therapist | |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-03-19 |