| NPI | 1629693387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL EMMA GONZALEZ PEREZ Owner 305-201-1793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2021-01-21 |