| NPI | 1023689106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ROBERTSON Occupational Therapist (Owner) 443-695-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-07-08 |