| NPI | 1013731728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEABRO CANDO Owner 347-352-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-11-09 |
| Last Update Date | 2024-11-17 |