| NPI | 1548682982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALIXTO AGUILAR AGUDO Rehab Director 501-504-9104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070015817) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070017782) |
| Enumeration Date | 2014-01-18 |
| Last Update Date | 2014-01-18 |