| NPI | 1952601346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH S ROSENKRANS President/Owner 941-799-9317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT24652) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |