| NPI | 1598379794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDLANDE GUERVIL Physical Therapist 863-651-3684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |