| NPI | 1174327100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIN KELLY LASTINGER Occupational Therapist 352-219-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist Physical Rehabilitation |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-09-03 |