Organization
NEUROPLASTICITY VENTURES LLC
Active
Other names
Neurocity Junction
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA K HUSEBOE DC (OWNER/CEO)
(954) 424-4240
Entity
Organization
Contact information
Practice address
10650 W STATE ROAD 84 STE 208, DAVIE, FL 33324-4235
(954) 424-4240
Mailing address
10650 W STATE ROAD 84 STE 208, DAVIE, FL 33324-4235
(954) 424-4240
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
FL
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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