NPI | 1902394612 |
---|---|
Former Legal Business Name | AKL ACTIVE, INC |
Entity Type | Organization |
Authorized Contact | ALEJANDRO TORO Owner 305-290-0622 |
Organization Subpart ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT14170) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
235Z00000X Speech-Language Pathologist, | |
261Q00000X Clinic/Center | |
Enumeration Date | 2018-04-27 |
Last Update Date | 2020-05-20 |