| NPI | 1891298170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA SHEPHERD Co Owner 352-262-0974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |