| NPI | 1982707584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G LISSON Owner Occupational Therapist 850-219-7826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL OT8395) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL OT8395) |
| 225X00000X Occupational Therapist (Licence: FL OT8395) | |
| 235Z00000X Speech-Language Pathologist (Licence: FL OT8395) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |