| NPI | 1396518304 |
|---|---|
| Former Legal Business Name | VIVACORE PHYSICAL THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH J GUARIN Manager/Owner 305-401-4375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |