| NPI | 1922369586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON CAWLEY Owner/Operator 239-298-4309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT018689) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2014-05-14 |