NPI | 1083623896 |
---|---|
Former Legal Business Name | DISTINCTIVE PEDIATRIC THERAPY |
Entity Type | Organization |
Authorized Contact | STEPHANIE CASERTA SPINELLI President 407-896-1152 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2006-08-08 |
Last Update Date | 2023-02-10 |