| NPI | 1548991524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY GOBLE CEO 813-417-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-06-21 |