| NPI | 1720133259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J MCCORMACK Owner 561-189-2105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05005132A) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |