| NPI | 1013926187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA LORENE CARSON Owner 407-491-3825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT-499) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT19866) |
| 225100000X Physical Therapist (Licence: FL PT7810) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA7850) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA6784) | |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2024-06-13 |