| NPI | 1043466659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LEE MUNOZ Occuptaional Therapist/Owner 386-793-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL OT#10221) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL OT#10221) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |