| NPI | 1013009984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL P CARDONA Owner 7877-540-7025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: PR 9491) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2016-02-24 |