| NPI | 1467828095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA TILLEY Pst 305-949-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 29902) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |