| NPI | 1558946095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIANNE ROSE STUCKMEYER Physical Therapist 772-559-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-03-16 |