| NPI | 1306380217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RICHARD LANGE President/CEO 954-980-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT18592) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |