| NPI | 1164279014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS CASTILLO BECERRA Mgr 813-465-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2025-02-24 |