| NPI | 1942541420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED TEMRAZ Owner 863-491-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 10572) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2021-06-15 |