| NPI | 1235455734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D GENECCO President/Owner 561-373-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL pt12379) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2012-02-07 |