| NPI | 1568967032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH WASKUCH Otr/L 321-536-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT13303) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-02-09 |