| NPI | 1962636639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE S CASSELL Director/Owner 941-961-4967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: FL ME86655) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2011-07-19 |