| NPI | 1376631747 |
|---|---|
| Doing Business As | EASTER SEALS |
| Entity Type | Organization |
| Authorized Contact | BEVERLY JOHNSON CEO (President) 386-255-4568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT 14797) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-05-29 |