| NPI | 1962672030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRI COSMIOS Physical Therapist 954-257-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT19201) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |