| NPI | 1780928507 |
|---|---|
| Other Name | TOSPTATHLETICS |
| Entity Type | Organization |
| Authorized Contact | KENT CHARLES KNISLEY CEO 850-877-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |