| NPI | 1699004879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MICHELE WHITE Occupational Therapist 954-612-6724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL OT10137) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2017-10-23 |