| NPI | 1891991386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN BARTLEY Clinic Director 239-947-7844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT4617) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH7598) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 6185490001) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2009-07-09 |