| NPI | 1578928420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CORN Office Manager 941-451-6689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: FL PT21464) |
| Enumeration Date | 2015-12-19 |
| Last Update Date | 2015-12-19 |