| NPI | 1679173926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA SOTO Owner 813-381-8975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261Q00000X |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2023-05-02 |