| NPI | 1609170679 |
|---|---|
| Doing Business As | LA FORTALEZA OCCUPATIONAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | LUIS HINCAPIE Director 215-778-3988 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT-009127L) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA PT-009127L) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2019-07-16 |