| NPI | 1396754412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ROSS DAVIS President 954-577-9370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 0002416) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-08-29 |