| NPI | 1174214704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANAY OLIVA Owner 786-521-3281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2026-05-21 |