| NPI | 1780209759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELINA ELIZABETH RICHARDSON Owner/Physical Therapist 863-663-6952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |