| NPI | 1154087161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL WALTZ CEO 813-850-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 224ZR0403X Occupational Therapy Assistant, Driving and Community Mobility | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2021-11-14 |
| Last Update Date | 2021-11-14 |