| NPI | 1417040726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MAY VAN GENT Director/ President 954-376-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 21147) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |