| NPI | 1245453547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGIE FORD DARLEY Office Manager 904-964-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 11085) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 6801) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2025-09-11 |