| NPI | 1033796529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI DEYOUNG Owner 219-713-2198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XE0001X Occupational Therapist Environmental Modification |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-03-29 |