NPI | 1710932082 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDITH ANN HANSEN Administrator 772-569-1453 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT8816) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2020-08-22 |