| NPI | 1609147834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA GONZALEZ Owner 786-380-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL ma 63260) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |