| NPI | 1366781049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS LAWRENCE LAW Mgr Member 954-647-4084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT17948) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |