| NPI | 1063874816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSIA PANOS President 954-224-0521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2021-03-16 |