| NPI | 1982979761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TRATHEN Owner 954-899-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT 18120) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2019-06-10 |