| NPI | 1336573039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRTA BATISTA TATUM Physical Therapist 754-246-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 0004025) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |