| NPI | 1942846241 |
|---|---|
| Doing Business As | LAKELAND SPORTS & SPINE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DWAN AYALA Credentialing Coordinator 425-450-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2020-03-13 |