| NPI | 1720940604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY C KIRSHBAUM Manager 954-994-8465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251G0304X Physical Therapist, Geriatrics | |
| Enumeration Date | 2025-11-28 |
| Last Update Date | 2026-02-07 |