| NPI | 1215288667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER OLESEN Owner 407-399-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA9546) | |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2021-06-16 |