| NPI | 1932153517 |
|---|---|
| Doing Business As | SPORT SPECIFIC TRAINING AND REHAB |
| Entity Type | Organization |
| Authorized Contact | JOEL JOHNSON CEO 407-426-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |