| NPI | 1235433343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DENISE HALE-WASHBURN President/Occupational Therapist 239-691-0765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 7744) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 16949) |
| 225X00000X Occupational Therapist (Licence: FL OT 3614) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9721) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |