| NPI | 1568646008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI ESSIG Owner/Physical Therapist 386-871-0428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 23030) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA 1622) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2022-02-09 |