| NPI | 1841726015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDA FORD President 407-415-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |