| NPI | 1225307820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO LOPEZ President 786-523-3208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MA54144) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |