| NPI | 1659318293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SAMUEL MASON President 407-657-5029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT20926) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT16219) |
| 2251N0400X Physical Therapist, Neurology (Licence: FL PT16219) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: FL PT16219) | |
| 2251S0007X Physical Therapist, Sports (Licence: FL PT16219) | |
| 225700000X Massage Therapist (Licence: FL MA42422) | |
| 225700000X Massage Therapist (Licence: FL MA33653) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2012-08-21 |