| NPI | 1588165930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID COLANGELO Sole Mbr 904-651-4435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0004830) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |