| NPI | 1174321053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL ARELLANO Administrator 786-255-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-07-23 |