| NPI | 1003140732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI KNIGHT Credentialing Specialist 402-955-6903 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2016-03-04 |