NPI | 1003252008 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA R HESSON Occupational Therapist/ Owner 985-502-8853 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MS OT1528) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS OT1528) |
Enumeration Date | 2013-05-16 |
Last Update Date | 2013-05-16 |