| NPI | 1164962056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES KIDD Owner 305-439-0263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |