| NPI | 1346388253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST HACKETT Owner 561-776-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2012-08-29 |