| NPI | 1548473978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEBERTO ROY GALICIA Managing Member 786-417-5517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT22298) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT9984) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |