| NPI | 1366592628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KILLAM Owner 941-484-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: FL OT863) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT7539) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-01-24 |