| NPI | 1861273054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE CLARK Owner/Manager 941-725-1527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |