| NPI | 1174194252 |
|---|---|
| Doing Business As | AVION SPORTS REHAB |
| Entity Type | Organization |
| Authorized Contact | STEVEN MARK DETARDO Member 786-831-8691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2022-04-11 |