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 |