| NPI | 1558736165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED K JOHNSON Owner 954-362-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT25177) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |