| NPI | 1932741659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TREVINO Owner 813-442-1204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification |
| 225XG0600X Occupational Therapist, Gerontology | |
| 225XH1300X Occupational Therapist, Human Factors | |
| 225XL0004X Occupational Therapist, Low Vision | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2021-10-07 |