| NPI | 1043613706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J HEALD Executive Director 800-778-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |