| NPI | 1346317443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JEVON COVINGTON Owner 786-897-4063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |