Back 2 Basics Ot, LLC
NPI #1780170498 in Winter Springs, Florida
Provider Information
- NPI Number
- 1780170498
- Entity Type
- Organization
- Organization Name
- Back 2 Basics Ot, LLC
- Primary Specialty
- Occupational Therapist - Pediatrics
- Enumeration Date
- Jul 5, 2018
- Last Updated
- Sep 25, 2018
Practice Location
- Address
- 134 HONORS WAY
- City
- Winter Springs
- State
- Florida
- ZIP Code
- 32708-6352
- Phone
- (407) 376-2592
Authorized Official
- Name
- SOLINA BRAININ-MATTOS, OTR/L
- Title
- OWNER/PRESIDENT
- Phone
- (407) 376-2592
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
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