| NPI | 1831350362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE L HASSEN Practice Administrator 239-432-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |