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 |