| NPI | 1679921183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODESTINO TOMASSI Owner/Authorized Member/D PT 772-979-4630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28490) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |