| NPI | 1952980609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE LASCALA Owner 424-269-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251N0400X Physical Therapist, Neurology | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225X00000X Occupational Therapist | |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-07 |