| NPI | 1760905806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY PAITRA MOHLE Owner, Doctor Of Physical Therapy 239-400-5639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT29036) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2019-03-12 |