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 |