| NPI | 1124277637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL CANELO CEO 954-227-1690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 111NP0017X Chiropractor Pediatric Chiropractor |
| 174400000X Specialist | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |