| NPI | 1023361987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA SERINA CLARK President 727-688-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT13806) |
| 225X00000X Occupational Therapist (Licence: FL OT13621) | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA6151) | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2022-10-04 |