| NPI | 1588627871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOHN MAYOTT President 954-609-4797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 15565) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 15798) |
| Enumeration Date | 2006-04-09 |
| Last Update Date | 2020-08-22 |