NPI | 1013288968 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNY MOSS Occupational Therapist/Owner 618-580-9464 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2012-01-24 |
Last Update Date | 2012-01-24 |