| NPI | 1992890693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN FRANKLIN METRICK Cooperating Manager 239-948-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 0603462) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-04-26 |