| NPI | 1679748867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN ANNE BOHAN Owner 941-500-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT4183) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT4183) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2022-10-11 |