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 |