| NPI | 1982612503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA L LONTOC Office Manager 813-949-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT7685) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |