| NPI | 1003451360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SINDY DELGADO Manager 786-703-7074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |