| NPI | 1659660157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN EDENFIELD Owner / Occupational Therapist 904-886-3228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |