| NPI | 1083426068 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AMANDA M DIAZ Owner/CEO 786-591-9693  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist | 
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics | 
| Enumeration Date | 2025-01-25 | 
| Last Update Date | 2025-07-18 |