| NPI | 1003008129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB VAKS Owner 305-610-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT15239) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME 77467) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |