| NPI | 1356618185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER P SOAVE Owner 561-577-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT25905) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA52832) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2013-09-09 |