| NPI | 1720337348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY REMOR Billing Representative 863-294-1429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |