| NPI | 1942551882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHRISTOPHER VIA President 941-444-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT12074) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-11-01 |