| NPI | 1881898559 |
|---|---|
| Former Legal Business Name | EASTER SEALS OF VOLUSIA AND FLAGLER |
| Entity Type | Organization |
| Authorized Contact | BEVERLY JOHSNON CEO 386-255-4568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2023-04-03 |