| NPI | 1962633016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GUERRINA Vice President 386-547-1690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 21778) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |