| NPI | 1831624469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISSIE THOMPSON Physical Therapist Assistant 407-409-8658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA27413) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |