| NPI | 1942283379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLO T PENARANDA Administrator & Physical Therapist 239-369-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: FL PT0004617) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-08-22 |