| NPI | 1902857949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT ALEXANDER ANGELITO Office Manager 863-422-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 1290005586) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |