| NPI | 1922549120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BELL-O'BRIEN Member Manager 786-251-7786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1217290) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |