| NPI | 1760252571 |
|---|---|
| Former Legal Business Name | NEURORECOVERY PT LLC |
| Entity Type | Organization |
| Authorized Contact | VANESSA RAE KACZMAREK Owner 941-539-4395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-26 |