| NPI | 1821776410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY JOHNSON Owner 407-247-3791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |