NPI | 1427288851 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANETTE ROCA Managing Director 786-259-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL OT9463) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL OT9463) |
225100000X Physical Therapist | |
225X00000X Occupational Therapist | |
Enumeration Date | 2009-07-20 |
Last Update Date | 2023-10-10 |