| NPI | 1629557616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANNE KELLEY Occupational Therapist/ Owner 904-304-3902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT13759) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2019-03-04 |