| NPI | 1174262224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY WARE Manager 305-479-2973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-27 |