NPI | 1003542374 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER LISA AUTENRIETH Owner 407-201-8079 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2022-07-28 |
Last Update Date | 2022-07-28 |