| NPI | 1003388802 |
|---|---|
| Other Name | FULLY ALIVE OCCUPATIONAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MARCIE MINCHOW Occupational Therapy 308-660-7867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |