| NPI | 1841432853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI MARTIN Owner Manager Member 850-865-3981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 174400000X Specialist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 224Z00000X Occupational Therapy Assistant | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2013-11-12 |