| NPI | 1053408831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY C. BRACK Owner 785-331-0667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 17-00516) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |