| NPI | 1821397365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA VERNON SMITH Administrator 904-755-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT12624) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-04-21 |