| NPI | 1912548355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA LOPEZ Owner 786-877-4216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-11-11 |