NPI | 1285316414 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON J LUSKIN Com PT Roller 561-620-1653 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2023-08-07 |
Last Update Date | 2023-08-07 |