| NPI | 1790025138 |
|---|---|
| Doing Business As | LAKE MARY PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | LAURA LEE MORAN Owner 321-363-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2025-05-09 |