| NPI | 1073146569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAH-MOE DE NEUS Owner 561-921-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111NR0400X |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |