| NPI | 1538727516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAINIELLE GORDON-CORNWALL President/Owner 954-648-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-08-19 |