| NPI | 1255955761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID BADILLO Owner/Provider 346-546-9653 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 207Q00000X Family Medicine | |
| 2085B0100X Radiology, Body Imaging | |
| 225700000X Massage Therapist | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2025-02-18 |