| 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 |