| NPI | 1881122190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAEME LAURISTON Director Of Physical Therapy 941-960-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT23805) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |