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 |