| NPI | 1003854704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA SHEILA BAQUIR JAVIER President 407-435-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 15122) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |