| NPI | 1407834021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA RIVA President, Owner, Otr 863-802-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5826) |
| 222Q00000X Developmental Therapist | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT0002549) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT12452) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2018-08-20 |