| NPI | 1932354537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINT L JOHNSON Owner 407-678-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL L08000106026) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL L08000106026) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |