| NPI | 1740796895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD BOWMAN Owner 305-543-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 19703) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2018-05-16 |