| NPI | 1659359511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B. STEVENSON Owner President 941-330-1677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT4117) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2022-09-21 |