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 |