| NPI | 1093901787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE STACEY GLUCK Owner 954-663-1539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT8115) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2014-02-18 |