| NPI | 1629199146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL L BAXLA Owner Sole Member 352-351-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT-8330) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-06-23 |