| NPI | 1053066845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNELISA MARISOL MACHADO Owner 786-879-4887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2022-02-20 |
| Last Update Date | 2024-06-27 |