| NPI | 1093106262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNABELLE JORGE MONTERO Physical Therapist 3058-077-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: FL 22127) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |