| NPI | 1447347067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN MAE MEDEIROS Owner 508-320-0883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: FL PT21400) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: FL OT11414) |
| 235Z00000X Speech-Language Pathologist (Licence: FL SA7026) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |