| NPI | 1538123682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROWENA BADENHORST Owner 863-453-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT0010746) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2008-03-21 |