| NPI | 1740498005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSE CASTILLO President 954-600-5887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL 0952) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2008-04-18 |