NPI | 1295891091 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY C. CUELI-DUTIL President 954-383-4239 |
Organization Subpart ? | No |
Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: FL PT17075) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT17075) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2020-08-22 |