| 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 |