| NPI | 1023055415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ALBERT CHURCH Owner 228-575-4654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: MS OT0116) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2013-01-31 |