| NPI | 1760436034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN LESLIE GRAHAM President 772-283-3820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT 17379) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2023-09-06 |