NPI | 1104810597 |
---|---|
Entity Type | Organization |
Authorized Contact | JORGE CAMACHO Manager 954-385-8566 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
225100000X Physical Therapist | |
225700000X Massage Therapist | |
Enumeration Date | 2005-08-31 |
Last Update Date | 2011-06-10 |