| NPI | 1962198390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LAUGOIS MODERY Co Owner/Founder 941-726-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |