| NPI | 1821464124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SAINT JOHN CFO 561-707-5209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT012056) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012056) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |