NPI | 1689724650 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA ANN VENNETT Owner 561-969-6125 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT860) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2007-09-21 |