| NPI | 1104161702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BALKENBUSH Director 786-201-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT13372) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2012-12-07 |