| NPI | 1508389644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MANRESA Clinical Director 954-606-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 224Z00000X Occupational Therapy Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2018-08-24 |