| NPI | 1447283502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JONATHAN INDA Managing Partner 321-277-1983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501012670) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201005173) |
| 225X00000X Occupational Therapist (Licence: MI 5201004547) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |