NPI | 1215017512 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY GOMES President 352-394-0212 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2023-01-30 |