| NPI | 1770925281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE CHIN Registered Agent 954-444-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008783) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |