| 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 |