| NPI | 1265862411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MCKINNEY Owner 904-669-4285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: FL OT 9943) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: FL PT 20437) |
| Enumeration Date | 2013-11-24 |
| Last Update Date | 2013-11-24 |