| NPI | 1427167048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH DEL CARMEN REVERON President 305-821-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT20401) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |