| NPI | 1548387392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATEF FARAH MITRY President 386-767-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT10588) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |