NPI | 1245956671 |
---|---|
Entity Type | Organization |
Authorized Contact | DERION ANTHONY PITTMAN Physical Therapist/Owner 954-546-4163 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2022-10-17 |
Last Update Date | 2022-10-17 |