| NPI | 1174961478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVETTE QUINTANA President 305-401-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: FL 7858) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-17 |