| NPI | 1972103851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC A LANGE Vice President Of Operations 941-365-3534 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-11-06 |