| NPI | 1750707642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA N. HARRIS Clinic Director 407-513-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 227800000X Respiratory Therapist, Certified | |
| 2278P3900X Respiratory Therapist, Certified, Neonatal/Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2014-03-15 |
| Last Update Date | 2016-12-21 |