| NPI | 1174062566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C MONACO President 754-900-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL PT17639) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |