| NPI | 1265442586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L LOGSDON President 239-274-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT12027) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7667) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |