| NPI | 1144771924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI MARTIN Owner 850-865-3981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 224Z00000X Occupational Therapy Assistant | |
| 225200000X Physical Therapy Assistant | |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-28 |