| NPI | 1114135951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MARY WOJCIK Director 954-583-7383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT-3163) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT-3163) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL Sa-1305) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |