| NPI | 1972564409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA THORESEN Co Owner 941-745-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH 8076) |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist (Licence: FL OT 9305) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-04-02 |
| Last Update Date | 2023-07-28 |