| NPI | 1700425725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEAVEN MARCULIS Owner 727-458-5738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2020-02-14 |