| NPI | 1770823304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KAYE RUETH Owner 239-278-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT23764) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |