| NPI | 1407344211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS YANCE Director 786-602-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |