| NPI | 1760942783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN BORODIAK Owner 561-719-2872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-09-04 |