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 |