| NPI | 1871076752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PHIPPS Executive Assistant 954-584-7178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2019-09-12 |