| NPI | 1881475630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA BARRIOS Manager 863-272-9639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |