| NPI | 1033783279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MOULTON Business Owner 304-216-1487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist Physical Rehabilitation |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-05-13 |