| 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 |