| NPI | 1962108258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE GOMEZ Owner And Director Of Operations 786-879-4209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2024-03-11 |