| NPI | 1114672920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDOLKA SULAY COBIELLA President 305-905-1855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-03-01 |