| NPI | 1104422732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON GORDON GORDON Co Owner 954-817-9864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| 2251H1300X Physical Therapist, Human Factors | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |