| NPI | 1598790156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA JOSLIN Administrator 321-255-6627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL HCC4972) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |