| NPI | 1811316581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEZILLE MARTINEZ Physical Therapist 267-239-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: PA PT018011) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |