| NPI | 1255825055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN DEFAZIO Occupational Therapist 772-494-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT13709) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-08-09 |