| NPI | 1407492424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERNELL HAMILTON Credentialing Specialist 954-451-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |