NPI | 1457778946 |
---|---|
Entity Type | Organization |
Authorized Contact | STACEY DENISE SIMONDS Owner 813-525-5468 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2014-03-24 |
Last Update Date | 2014-03-24 |