NPI | 1992256481 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA EWING President 727-744-3629 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (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 |