| NPI | 1811285687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAITE AVILA Owner 305-597-0597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 000062431106) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |