| NPI | 1992466817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BOUWKAMP Physical Therapist And Owner 352-219-5930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-01-08 |