| NPI | 1104458413 |
|---|---|
| Former Legal Business Name | LIFE MEDICAL REHABILITATION |
| Doing Business As | THERAPY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BORIS DUARTE President 786-715-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |