| NPI | 1134658149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIMIS RODRIGUEZ AVILA Owner 305-640-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2021-03-22 |