| NPI | 1013105196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD PATRICK GRAY President 561-733-5083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 3436) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 9734) |
| Enumeration Date | 2007-10-14 |
| Last Update Date | 2015-10-23 |