| NPI | 1528006178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE JENNINGS President 904-964-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5788) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 8454) |
| 222Q00000X Developmental Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2009-02-05 |