| NPI | 1871769349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAHAM KILBURN Owner/President 813-662-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL PT2549) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT5990) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT1478) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA7398) | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2018-08-20 |