| NPI | 1205874278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA H CLARK President 941-792-3134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: FL OT0000642) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |