| NPI | 1962028852 |
|---|---|
| Former Legal Business Name | SPINE & SPORT REHAB, INC |
| Entity Type | Organization |
| Authorized Contact | GERARDO E REMY President 305-228-9626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |