| NPI | 1174762074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL MUDRYJ Owner 786-493-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa-8529) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist (Licence: FL ot-12003) | |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2013-06-18 |