| NPI | 1205122702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUDITH LEYVA ESCALONA President 786-360-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL HCC7235) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |