| NPI | 1740713692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYAN NANCY CHANEY Managing Member 954-815-3926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT 14768) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |