| NPI | 1134663867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN PICI CEO 813-643-1389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225XP0200X Occupational Therapist Pediatrics (Licence: FL OT10626) | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2021-07-01 |