| NPI | 1962893917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA F STEWART President 813-508-2553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL PT24895) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-04-20 |