| NPI | 1538428446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIELYNN AVILA Director/Owner 305-985-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT26138) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT13788) |
| 225200000X Physical Therapy Assistant (Licence: FL PTA24257) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA12054) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2016-03-21 |