| NPI | 1295447019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LEE MERIWETHER Owner 321-749-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2023-01-17 |