| NPI | 1720163306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J BORES Owner/President 239-642-3948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT21538) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT0014520) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2010-06-18 |