| NPI | 1669501615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A BLANK PT/Owner 941-228-6734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT19653) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT13467) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: FL pt13467) | |
| 2251S0007X Physical Therapist, Sports (Licence: FL PT13467) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT13467) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2018-03-19 |