| NPI | 1124072947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE GOTFRIED GUISE Director 813-963-6923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist (Licence: FL ot4289) | |
| 225X00000X Occupational Therapist | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-07-24 |