| NPI | 1487891859 |
|---|---|
| Doing Business As | KIDS THERAPY KORNER |
| Entity Type | Organization |
| Authorized Contact | MARIANELA N/A MARTINEZ Occupational Therapist 904-375-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL OT11418) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2011-09-28 |