| NPI | 1831192970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ANN GREENE Administrator 941-484-2471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2009-08-27 |