| NPI | 1043766637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYSE ANN CANFIELD Managing Member 804-551-2334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119004864) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |