| NPI | 1326289521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY ELISE VILLEGAS Owner 407-362-1902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: TX 564320000) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2022-06-14 |