| NPI | 1689166357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH HILDERLEY Billing Representative 352-683-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |