| NPI | 1366141293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE KIEFER Owner 407-900-3026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2024-06-05 |