| NPI | 1013644590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK ELISSALT Owner 786-570-9928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2023-02-12 |