| NPI | 1285250324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA CAPEN Owner 727-643-4049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |