| NPI | 1073155065 |
|---|---|
| Doing Business As | STAVES OCCUPATIONAL THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHASSIDY CROSS STAVES Occupational Therapist, Owner 270-993-6959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |