| NPI | 1952492993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYNELL ANN ANDERSON Owner, Manager 239-494-4241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 5033) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2014-04-03 |