| NPI | 1861932659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CHASE President 727-362-6866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT13989) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA39620) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |