| NPI | 1912590027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAN NGUYEN CASSELLA Manager 813-846-5089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |