| NPI | 1386188274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASTRID VILLALOBOS President 786-622-7801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL SA12771) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12771) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2021-06-19 |