| NPI | 1326316696 |
|---|---|
| Other Name | LLC |
| Entity Type | Organization |
| Authorized Contact | TINA PORRECA Owner/Manager 727-631-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa8085) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA8085) |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: SA8085) | |
| 252Y00000X Early Intervention Provider Agency (Licence: FL SA8085) | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2023-12-08 |