| Organization Name: | STRATEGIC BODY WORKS LLC |
| NPI Number: | 1558736165 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRED K JOHNSON (OWNER) |
| Mailing Address: | 599 S Federal Hwy Suite 101 Dania Beach |
| State: | FL US |
| Postal Code: | 330044174 |
| Phone Number: | 9543624544 |
| Fax Number: | 9544047173 |
| NPI Enumeration Date: | 12/08/2015 |
| NPI Last Update Date: | 12/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT25177 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |