| NPI | 1649432576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYNE ELIZABETH TARRANCE Owner/Physical Therapist 813-854-1625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2009-06-03 |