| NPI | 1750936647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYLEN ALAYON President 305-300-6936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2024-06-24 |