| NPI | 1942873476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYE E HERMAN Physical Therapist Assistant 407-288-9513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2022-01-20 |