| NPI | 1689968158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLLANDA FAYETTE MCCOY President 321-724-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT20357) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |