| NPI | 1750580460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI WEISER President 561-237-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PTA17624) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME51866) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-23 |