| NPI | 1265980569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA BUTRON Managing Director 305-505-5596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: CO OT0003373) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |