| NPI | 1992248801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNMARIE BENTLEY Office Manager 813-825-1836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| 3747P1801X Technician, Personal Care Attendant | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2025-10-27 |