| NPI | 1811296304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAM MADIC Director 954-410-1607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MM26420) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |