| NPI | 1942315684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSELITO COLMENARES REYNES Operating Manager 727-504-7544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT5364) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-10-15 |