| NPI | 1619541604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTIAN PRADO-CAPETILLO Owner 904-315-0394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251H1200X Physical Therapist, Hand | |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-05-14 |