| NPI | 1043524259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M LYTLE Owner 740-264-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT004994) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: OH 1041100185) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2016-03-02 |