| NPI | 1205889714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENSON P BAGASAN PT/VP 561-732-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 8860) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 7481) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-11-20 |