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 |