| NPI | 1679617740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA L BOERTMANN Director 386-801-7095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA9565) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-01-23 |