| NPI | 1568677938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROWENA MERCADO Physical Therapist 941-625-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT10614) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |