| NPI | 1205033321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE GREYE Director 954-782-1967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 18859) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 18859) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |