| NPI | 1679182679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA AL-SAWAI Managing Partner 813-650-5718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 225X00000X Occupational Therapist | |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2020-07-26 |
| Last Update Date | 2020-07-26 |