| NPI | 1083478101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNESHIA CROSS Occupational Therapist 772-867-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist Gerontology |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XP0019X Occupational Therapist Physical Rehabilitation | |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2025-08-15 |