| NPI | 1760489124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRACKE President 786-242-5710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT6601) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT9840) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA4127) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-08-22 |