| NPI | 1528291051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HERNDON Member 850-337-1378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 222Q00000X Developmental Therapist | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2022-02-09 |