| NPI | 1891805396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A GANDOLFO President 954-401-7419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT21833) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |