| NPI | 1609726736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO FERNANDEZ Office Manager 386-383-3887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 252Y00000X Early Intervention Provider Agency | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2026-01-29 |
| Last Update Date | 2026-02-03 |