| NPI | 1306974480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS CARRASCO Director 321-841-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2009-08-20 |