| NPI | 1073117925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MILES-KESSELL Owner 858-761-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2020-11-22 |