| NPI | 1447569660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRELA YESSENIA BUCARDO Owner 305-456-5830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 13-64-1273759) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |