| NPI | 1932125556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY MORGAN BIELLING Executive Director 352-273-6143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2022-11-14 |