| NPI | 1407882640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH VICTOR VAN DER LINDE Directorowner 561-482-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT14974) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2022-07-21 |