| NPI | 1609921113 |
|---|---|
| Doing Business As | THE SPORT CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES MICHAEL SHAPIRO President 954-989-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-01-08 |