| NPI | 1073138012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA PETROVICH Owner 954-895-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2021-04-15 |