| NPI | 1013171768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN WILK Occupational Therapist 239-777-4009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 7324) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2013-09-16 |