| NPI | 1508390923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE PEREZ President 305-200-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL 12463) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |