| NPI | 1942580196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA S COKE President 863-402-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT23347) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |