| NPI | 1558312843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER H FORMAN President 561-912-9580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT19852) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2012-04-16 |