| NPI | 1184711053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY KATHRYN DEANGELIS Director 904-469-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA2176) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2026-07-22 |