| NPI | 1750257150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE M ALVAREZ Owner Provider Authorized Official 754-276-1529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |