| NPI | 1306918412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMERY ESTEVEZ Dir Contracting And Credentialing 954-262-4343 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2023-05-30 |