| NPI | 1528817723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO ALBERTO MAXIMILIANO DIAZ Physical Therapist 239-850-8625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2024-05-18 |
| Last Update Date | 2024-05-18 |