| NPI | 1083778682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA T. BRADLEY Director Physical Therapy 954-567-2617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL PT4144) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-08-30 |