| NPI | 1780131193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEARY DEAN D MCINTOSH President 954-501-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26290) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2018-03-30 |