| NPI | 1750825261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNES WIJNMAALEN President 352-340-5935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT736) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |