| NPI | 1922398106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BURCH Owner 305-967-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT17800) |
| Enumeration Date | 2011-04-09 |
| Last Update Date | 2011-04-09 |