| NPI | 1194770081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER HARROLD Office Manager 954-499-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT11299) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 7231) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8125) | |
| 225X00000X Occupational Therapist (Licence: FL OT 11987) | |
| 225X00000X Occupational Therapist (Licence: FL OT 9969) | |
| 225X00000X Occupational Therapist (Licence: FL OT 9973) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-20 |