| NPI | 1114127511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVENA SUSON-AGANON President / Clinical Director 321-674-9659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 9288) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |