| NPI | 1679393276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDA OBI-ANADIUME Member 813-230-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 225100000X Physical Therapist |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-12-28 |