| NPI | 1801462726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M VILLALOBOS Owner 561-288-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-07-09 |