| NPI | 1033679311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE VAUGHAN Operations Management 813-341-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2021-08-13 |