| NPI | 1699725887 |
|---|---|
| Other Name | YACAVONE THERAPY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEE FITZGERALD Owner/President 321-246-8939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 10000) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2018-07-18 |