| NPI | 1316303134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HENKELMAN Owner/Manager 4079-249-6332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL FL0009941) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-05-10 |