| 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 |