NPI | 1134472988 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS DEWAYNE GRAY Owner/Physical Therapist 561-625-2637 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL PT25353) |
Enumeration Date | 2012-10-17 |
Last Update Date | 2012-10-17 |