| NPI | 1861546061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DAWN HANSHEW Business Manager 727-868-9563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL ME0038324) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-06-27 |