NPI | 1497023790 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN MARTIN PICKETT Administrator 941-752-0408 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OTA11922) |
Enumeration Date | 2011-12-01 |
Last Update Date | 2011-12-01 |