| NPI | 1588859409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY W WELSH Manager 727-797-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2021-11-19 |