| NPI | 1366979155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MUSGRAVE Owner 561-523-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |