| NPI | 1174204952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE BOUCHEREAU President 954-445-3064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-09-27 |