| NPI | 1154948958 |
|---|---|
| Former Legal Business Name | GROUNDED VENTURES LLC |
| Entity Type | Organization |
| Authorized Contact | SANDRA ALCAZAR D PT, Owner 954-257-5370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |