| NPI | 1821725060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA SANFORD-HELLER Owner 904-515-3735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |