| NPI | 1659465870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY POWELL STOCKWELL Physical Therapist/Owner 352-598-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 15393) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |