| NPI | 1043918378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN PASTENA Occupational Therapist 023-413-7706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2024-01-04 |