| NPI | 1629383724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO NEIRA President 754-366-7425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL PT22553) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |