| NPI | 1093256984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE S FORREST Managing Member 352-216-6836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: FL OT4461) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT9864) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2018-07-25 |