| NPI | 1376590273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN ALEJANDRO PONCE DE LEON President 561-746-8148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT5286) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2010-07-09 |