| NPI | 1629421391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MICHELLE BAKER Occupational Therapist 386-585-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL L16000012825) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL OT14766) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2017-01-12 |