| NPI | 1780896282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DOLORES DE LA OSSA Physical Therapist 941-497-5356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 08999) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |