| NPI | 1902135114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DIXON Administrator 407-833-2729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225A00000X Music Therapist |
| 225X00000X Occupational Therapist (Licence: FL OT12547) | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |