| NPI | 1801663422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH DUNLEAVY CEO 772-410-3499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |