| NPI | 1013530021 |
|---|---|
| Other Name | --NONE-- |
| Entity Type | Organization |
| Authorized Contact | ASHLEY WORDEN Ot/Manager 863-381-2491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |