| NPI | 1104972280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA L RUCKSER President 321-253-6316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2025-09-11 |