| NPI | 1699923367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY K BOOTH Owner 813-873-1936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA3850) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-05 |