| NPI | 1902275720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHNA NICOLE SISCA President 561-704-7224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 18059) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |