| NPI | 1679503619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD CRAIG BRIMM Chief Operating Officer 941-954-8725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |