| NPI | 1942793807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL DANIEL BENONY Clinical Director 561-808-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27961) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2019-07-15 |