| NPI | 1972347557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA VANDERMYDE Physical Therapist 305-546-5604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-19 |