| NPI | 1841527934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIUVAN CORRALES Owner 813-597-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MM 23895) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |