| NPI | 1265056584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH CHAMBLISS Otr/L 727-637-2178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XE0001X Occupational Therapist, Environmental Modification |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |