| NPI | 1235423567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIVAN RODRIGUEZ Owner 786-558-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MA 60755) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-03 |