| NPI | 1295144475 |
|---|---|
| Doing Business As | BRIAN PAGAN |
| Entity Type | Organization |
| Authorized Contact | BRIAN ODELL PAGAN Owner/ Therapist 561-320-6992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL 12589) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-12-17 |