| NPI | 1457594293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA GALTES Officer 7865-553-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 6399) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 10913) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-06-17 |