| NPI | 1215085410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA EUGENIA ACEVEDO Manager 772-971-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT0011057) |
| Enumeration Date | 2007-01-07 |
| Last Update Date | 2020-08-22 |