| NPI | 1861643132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MAZZUCO Administrator 352-683-6831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| 227900000X Respiratory Therapist, Registered | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2012-01-26 |