| NPI | 1225661531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANELA MACIAS Owner 786-901-0289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |