| NPI | 1003498973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASIE A BALLARD Owner/Occupational Therapist 812-228-6896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2023-07-03 |