| NPI | 1245332758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEMMA BANEZ President/Director 561-855-6170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT011092) |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2024-04-14 |