| NPI | 1609000694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M FOX Owner 813-453-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |