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 |