| NPI | 1841742509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE D HENSLEE Director Of Finance 954-449-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2021-04-01 |