| NPI | 1346755782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LAMIANO Co Owener 813-957-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL OT11940) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT11939) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2020-02-04 |