| NPI | 1790888675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KISIELEWSKI Owner/President 941-365-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT5346) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |