| NPI | 1235121088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN CASINGAL President 321-255-9546 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2009-02-20 |