| NPI | 1902412752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES KIDD Owner 305-439-0263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |