| NPI | 1679829998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK ROMOLO Manager 772-538-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 023347) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |