| NPI | 1205287711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE DEPA Occupational Therapist/Mgr 813-625-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2021-10-29 |