NPI | 1811185291 |
---|---|
Doing Business As | PREMIER PHYSICAL THERAPY AND SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | JEFFREY A TUCKER Owner/PT 386-756-0077 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 4660) |
Enumeration Date | 2007-10-10 |
Last Update Date | 2024-08-01 |