Gardens Medical Rehab INC

NPI #1619289709 in Hialeah, Florida

Provider Information

NPI Number: 1619289709
Entity Type: Organization
Organization Name: Gardens Medical Rehab INC
Primary Specialty: Massage Therapist
Enumeration Date: Jul 6, 2010
Last Updated: Jul 6, 2010

Practice Location

Address: 5590 W 20TH AVE STE 204
City: Hialeah
State: Florida
ZIP Code: 33016-7061
Phone: (305) 698-3482

Authorized Official

Name: MR. ENRIQUE JOSE DE LA COTERA, LMT
Title: PRESIDENT
Phone: (305) 698-3482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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