| NPI | 1962086520 |
|---|---|
| Doing Business As | 123 SPECIAL CARE KIDS PPEC LLC |
| Entity Type | Organization |
| Authorized Contact | MARIANA TALARICO DE NOLASCO Manager 305-651-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-13 |