| NPI | 1154802148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENISSON M CARNEIRO Physical Therapist/Owner 954-245-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 28107) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2021-06-02 |