| NPI | 1639271000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL V EGUIZABAL Director Of PT 786-261-6752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT20045) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT4720) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-08-22 |