| NPI | 1104642628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVEL MANZANARES ANGULO Owner 786-830-9519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 225100000X Physical Therapist | |
| 221700000X Art Therapist | |
| 103K00000X Behavior Analyst | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2024-11-30 |
| Last Update Date | 2026-04-26 |