| NPI | 1407196678 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MAVIS REYES President 305-220-8222  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA12183)  | 
| Additional Taxonomies | 225100000X Physical Therapist | 
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2013-02-25 | 
| Last Update Date | 2023-01-26 |