| NPI | 1891563243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA LOPEZ Owner 305-401-2105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |