| NPI | 1669862843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY WOLF Billing Manager 239-970-2484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2017-04-07 |