| NPI | 1104554674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA FAGUNDO Owner 786-382-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-29 |