| NPI | 1558077370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJA PERRY Occupational Therapist 904-304-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |