| NPI | 1477682698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA GLORVINA SHEPPARD CEO 954-931-5339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT 1523) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 253) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |