| NPI | 1023266491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY ISENBERG HICKMAN Owner 850-258-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT2238) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |