| NPI | 1952983454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TYSON YOUNG Owner/Physical Therapist 772-486-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |