| NPI | 1912632043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA PONCE President 786-402-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| 235Z00000X Speech-Language Pathologist, | |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-07-21 |