| NPI | 1619397965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LOPEZ President 305-691-5384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 19177) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 10382) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |