| NPI | 1467139402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LYNN REYES OLSSON Physical Therapist/Owner 305-879-7795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |