| NPI | 1902554041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE FRADILLADA Manager 561-809-5461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-03-17 |