| NPI | 1750772521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A HERNANDEZ Owner/President 319-855-8098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 16667) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |