| NPI | 1346787587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BONAROS President 954-290-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 21438) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |