| NPI | 1780358556 |
|---|---|
| Former Legal Business Name | PRESTIGIOUS THERAPY & WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | JESENIA VALDES Owner 305-927-8297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |