| NPI | 1316714850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CONOVER Senior Credentialing Specialist 561-432-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-10-04 |