| NPI | 1770203523 |
|---|---|
| Former Legal Business Name | [email protected] |
| Entity Type | Organization |
| Authorized Contact | EUGENIO ALCIDEZ HERNANDEZ President 754-286-9439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-09-01 |