| NPI | 1609214667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARSHALL GALVEZ Managing Member 786-251-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 8794) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |