| NPI | 1992256481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA EWING President 727-744-3629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: FL PT9908) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT9908) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT12196) | |
| 225X00000X Occupational Therapist (Licence: FL OT10642) | |
| 251E00000X Home Health | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2019-02-19 |