| NPI | 1952845919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES GODOMAR Owner 305-318-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225200000X Physical Therapy Assistant (Licence: FL pta23618) | |
| Enumeration Date | 2016-12-10 |
| Last Update Date | 2024-07-25 |