| NPI | 1780139006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON T. GIVENS Co Owner 386-453-1726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT10897) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9883) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2024-11-02 |