| NPI | 1801762372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AINALEZ LOPEZ Owner 239-849-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |