NPI | 1164849394 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCELLE HORN-MANDIOLA Occupational Therapist 786-510-0814 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 4403) |
Enumeration Date | 2014-03-26 |
Last Update Date | 2014-03-26 |