| NPI | 1447420963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATEF FARAH MITRY President 386-767-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT 10588) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |