| NPI | 1689863284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE BURY Owner 772-692-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT0000870) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-30 |