| NPI | 1811570724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN SQUIRE Owner 941-322-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-06-15 |