| NPI | 1609005230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN C QUIROGA Director 239-261-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 24636) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2010-02-03 |