| NPI | 1619856929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZMIN PERALTA Owner 407-460-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251N0400X Physical Therapist, Neurology | |
| 225X00000X Occupational Therapist | |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |