| NPI | 1740157064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA FERNANDA CUELLAR Owner/Manager 772-577-9673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-21 |