| NPI | 1477998219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JOY SUTTA Manager 954-639-2436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 24947) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 13988) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8030) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-08-06 |