| NPI | 1538787593 |
|---|---|
| Former Legal Business Name | SAN JUDAS TADEO PHYSICAL THERAPY CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | DAIMARA BORROTO Owner 786-728-7925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |