| NPI | 1609120245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ADELE COOPEE Owner 727-329-8698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL OT#13546) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: FL MA#64262) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |