| NPI | 1639897655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK COLL Occupational Therapist 786-412-2538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-08-16 |