NPI | 1811249055 |
---|---|
Other Name | SOSPT |
Entity Type | Organization |
Authorized Contact | KERRIE JEAN BROOKS-ANGLE President/Owner 561-317-4847 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT 19952) |
Enumeration Date | 2012-10-11 |
Last Update Date | 2013-03-28 |