| NPI | 1750244661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HENSON SORIANO Managing Member 863-513-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2025-12-08 |