| NPI | 1306134374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN FERNANDO LOPEZ President 3005-456-7798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MM27251) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |