| NPI | 1912784794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIUSKA AMIGO Owner 305-985-8395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2024-05-09 |