| NPI | 1578542619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS A IBANEZ Administrator 305-266-4048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL ot107) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2008-06-30 |