| NPI | 1639217409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R. BAUER Program Director 305-243-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225400000X Rehabilitation Practitioner | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |