| NPI | 1427551845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE GORRA President 305-200-5579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2023-11-21 |