| NPI | 1689892952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT E WILSON Owner/Physiotherapist 772-781-5681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL FLPT0006232) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-01-15 |