NPI | 1649344060 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE LYNN DORFMAN Occupational Therapist 772-562-6877 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL 10948) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2020-08-22 |