| NPI | 1083785810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYNA JILL BRUNETTE President 407-679-7837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-01-24 |