| NPI | 1063977353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HUSEBOE Owner 954-424-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NS0005X Chiropractor, Sports Physician | |
| 2251N0400X Physical Therapist, Neurology | |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |