| NPI | 1417052432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE S BEAULIEU Owner/President 954-570-7699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7902) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2016-08-11 |