| NPI | 1992847479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI M RICHARDSON President 954-785-4776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT3855) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2013-08-09 |