| NPI | 1366221038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JOY Ra / Owner 772-342-5596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-11-25 |