NPI | 1861962581 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN P. KRUEGER Owner 850-380-4657 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2018-11-26 |
Last Update Date | 2020-12-29 |