| NPI | 1255017554 |
|---|---|
| Doing Business As | SUPERNOVA PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | JULEAH MIRITA CINTRON Owner/Physical Therapist 772-812-1293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |