| NPI | 1669074043 |
|---|---|
| Former Legal Business Name | GONZALEZ REHAB PROFESSIONALS LLC. |
| Entity Type | Organization |
| Authorized Contact | MALVY DIAZ President 786-542-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2020-11-11 |