NPI | 1336583392 |
---|---|
Entity Type | Organization |
Authorized Contact | AIMEE C BRUECK Owner/President 561-376-2573 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT19595) |
Enumeration Date | 2013-04-22 |
Last Update Date | 2013-04-22 |