| NPI | 1093528622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADEGE U DERVIS Physical Therapist/Owner 772-359-5187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-02-12 |