| NPI | 1457750408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANA J HAZELCORN President 561-296-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT3901) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |