| NPI | 1417229477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA MARIE PETERSON Chief Executive 954-731-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL PTA20993) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |