| NPI | 1245942333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSLEY PEREZ Admin 786-577-3427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2023-10-03 |