NPI | 1649468034 |
---|---|
Doing Business As | GENESIS AQUATIC & PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | MARSHA C. MCDANIEL Co Owner 352-817-3896 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT9259) |
Enumeration Date | 2007-10-10 |
Last Update Date | 2007-10-10 |