| NPI | 1649939703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANNE OLDS Owner 727-992-6814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |