| NPI | 1659825891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI A GRAY Member 561-733-5083 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: FL PT3436) |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: FL OT9734) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-09-26 |