| NPI | 1669095055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN S WILNER Owner 954-606-6325 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-06-08 |