NPI | 1326352550 |
---|---|
Entity Type | Organization |
Authorized Contact | LEUNG SHING WONG Owner 239-362-1485 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT12905) |
Enumeration Date | 2010-07-29 |
Last Update Date | 2014-12-26 |