| NPI | 1801557541 |
|---|---|
| Former Legal Business Name | LIGHTHOUSE PILATES, LLC |
| Entity Type | Organization |
| Authorized Contact | MARY EBANKS-NUNAIHED Owner/Manager 954-391-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-08-29 |