| NPI | 1821429911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH PATTERSON Owner 813-690-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT4616) |
| Enumeration Date | 2013-11-28 |
| Last Update Date | 2013-11-28 |