| NPI | 1891990206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA STREETER Vice President 800-699-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT14620) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2024-05-29 |