| NPI | 1578829115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BANTA Occpational Therapist/Owner 352-804-0753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 354) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |