| NPI | 1275579674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GONZALO SANTIESTEBAN DIAZ Administrator 786-507-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT21182) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |