| NPI | 1487419206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANITA TANETTE OWENS Owner 850-348-1057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 2251P0200X Physical Therapist Pediatrics | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-04-06 |