NPI | 1518083989 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES R. HAMPTON President 352-455-3079 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 6460000014) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 6460000014) |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2007-03-21 |
Last Update Date | 2020-08-03 |