NPI | 1629071212 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL P BOVARNICK President 561-376-8935 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT5811) |
Enumeration Date | 2005-05-27 |
Last Update Date | 2011-11-16 |