| NPI | 1629507843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN NICOLE SIMON Owner 941-251-6825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2022-03-28 |