NPI | 1578878450 |
---|---|
Former Legal Business Name | PHYSIONETICS |
Entity Type | Organization |
Authorized Contact | NICOLA KHALAF VARVERIS Owner 239-593-4348 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT10624) |
Enumeration Date | 2010-08-16 |
Last Update Date | 2016-05-03 |