| NPI | 1578562419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELKE C PRICE Administrator 239-573-1518 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2016-01-18 |