| NPI | 1811650047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE REGISTER President 321-239-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 227900000X Respiratory Therapist, Registered | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |