| NPI | 1053992107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSARUMEN IGBINOSUN Owner 848-666-7098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |