NPI | 1023391406 |
---|---|
Former Legal Business Name | GROVE PHYSICAL THERAPY, INC. |
Entity Type | Organization |
Authorized Contact | RONALD YACOUB President 305-722-0568 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2011-09-22 |
Last Update Date | 2017-09-13 |