| NPI | 1356422968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIE VICKNAIR Owner 941-955-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-06-17 |