| NPI | 1083968929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRA YASKIN Vice President 561-723-8437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT17788) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT9985) |
| 225XH1200X Occupational Therapist, Hand (Licence: FL 1061101186) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT17788) | |
| 2251S0007X Physical Therapist, Sports (Licence: FL PT17788) | |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2015-10-19 |