| NPI | 1689405169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ANTONIO DOMINGUEZ Owner/Authorized Official 954-775-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2025-01-15 |