| NPI | 1568520534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M PIERCE Owner Director 239-594-5412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT18720) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2012-11-01 |