| NPI | 1063112407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ELIZABETH KEY Owner/Operator 918-680-1237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |