| NPI | 1316727324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLLANDA MOORE Clinical Director 321-208-3891 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WR0400X Registered Nurse Rehabilitation | |
| 225100000X Physical Therapist | |
| 2251G0304X Physical Therapist Geriatrics | |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |