| NPI | 1588740120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMADO JOSE MENDOZA CEO 321-986-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-01-29 |