| NPI | 1942472006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL P SALDON Administrator 386-763-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2008-03-29 |
| Last Update Date | 2008-03-29 |