| NPI | 1215177514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHNA NICOLE SLOAN Physical Therapist 561-704-7224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 18059) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-07-17 |