| NPI | 1609023613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JOSEPH JOHNSON Owner/Manager 941-961-4315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 013473) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-10-17 |