NPI | 1518670298 |
---|---|
Entity Type | Organization |
Authorized Contact | INGRID BADILLO GONZALEZ Owner 863-812-6228 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
111N00000X Chiropractor | |
133NN1002X Nutritionist, Nutrition, Education | |
171100000X Acupuncturist | |
207Q00000X Family Medicine | |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
2085B0100X Radiology, Body Imaging | |
225700000X Massage Therapist | |
261QM1300X Clinic/Center, Multi-Specialty | |
363LP2300X Nurse Practitioner, Primary Care | |
364SR0400X Clinical Nurse Specialist, Rehabilitation | |
Enumeration Date | 2022-12-28 |
Last Update Date | 2025-02-18 |