NPI | 1093994055 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN PEGUES President 954-471-6119 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT2360) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT8733) |
Enumeration Date | 2007-10-26 |
Last Update Date | 2007-10-26 |