| NPI | 1730653015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA PES Member 561-891-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-01-19 |
| Last Update Date | 2020-07-03 |