| NPI | 1750447397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH TODD BOUDREAU Managing Partner 561-741-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-08-07 |