| NPI | 1457058802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE L MATTA Founder/CEO 561-247-0745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-05-22 |