| NPI | 1649326034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MCDONNELL Director Owner 727-896-8086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |