| NPI | 1558511725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J WILLETT President 239-591-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT16338) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2009-06-25 |