| NPI | 1851861215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL ROLLINS Director/ CEO 321-313-4079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2019-05-13 |