| NPI | 1912227851 |
|---|---|
| Doing Business As | LEGACY PHYSICAL THERAPY AND SPORTS TRAINING |
| Entity Type | Organization |
| Authorized Contact | CESAR CHACON Administrator 941-729-0003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |