| NPI | 1679054407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA VELLA DURAND SANCHEZ Director 347-907-2789 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX P1177) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2023-03-10 |