| NPI | 1649599168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG FISKE Owner 786-410-5394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT 15371) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2025-09-19 |