| NPI | 1386939361 |
|---|---|
| Former Legal Business Name | LY THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | MARISLEIDY CABRERA Owner 786-401-7046 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MM27011) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |