| NPI | 1114570629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY PIERRE-DESTIN Owner/Director 954-305-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2022-09-03 |