| NPI | 1487967758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TIFFANY KIELLACH Managing Director/Owner 941-400-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 9946) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |