| NPI | 1023821980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES ALEJANDRO CRUCET-CHOI Program Manager 202-925-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-08-07 |