| NPI | 1275152407 |
|---|---|
| Former Legal Business Name | NEW VISIONS PEDIATRIC THERAPY, INC |
| Entity Type | Organization |
| Authorized Contact | JUAN FEDERICO DURAN Director 818-602-5163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |