| NPI | 1558084426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOYAH LATRICE CARLISLE Occupational Therapist 786-303-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2026-01-07 |