| 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 |