| NPI | 1396150454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKI HANZEL President 954-804-8305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL PT20752) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |