| NPI | 1962528513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD D GODBERG Officer Director 305-380-6296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT12087) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |