NPI | 1760619811 |
---|---|
Entity Type | Organization |
Authorized Contact | JUANITO ESTRADA Administrator 407-299-5003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2009-06-16 |
Last Update Date | 2009-06-16 |